Please help us understand your needs

2. How many time a week do you or your child(ren) anticipate using your membership?
*

1 - 2 2 - 4 4 - 6 daily

3. What benefits do you hope to gain from the YMCA?
*

4. Which programs and services interest you?
*

5. Do your children enjoy the daily quality physical education at the school they attend?

Yes No

6. Without YMCA Financial Assistance, are you able to access health, fitness and recreational programs or services?
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Yes No

6a. If NO to previous question - what impact does this have on you or your children's quality of life?

7. Are you and/or your family currently participating in any health, fitness or recreational programs or services?
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Yes No

8. Please state how much you can afford to pay per month towards a YMCA service. (Please note if applying for summer camp this is a weekly fee)
*

For Questions or Concerns

Upon receipt of this application you will be contacted to setup a time in which to come into the YMCA to meet with one of our staff who will discuss this application with you and discuss a fee that we feel is fair for your situation. Please be advised that financial assistance is only available to those unable to pay the full fee not unwilling to pay. Based on your situation there is a possibility that you may be declined or only offered a minimal amount of assistance.

Please remember all documents, currrent bills, rent receipt, proof of mortgage and current bank statements when you come in for your inerview.

Should you have any questions with regard to this process please feel free to contact Mary Anne Wooldridge, Supervisor, Membership Sales and Service (705)748-9622 or maryanne.wooldridge@ceo.ymca.ca